Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK A ELDER, DDS
ActiveJACK A ELDER, DDS is a Dentist healthcare provider located in BENICIA, California. NPI 1164509832 is currently active in the NPPES registry. Verify at CMS.
Dentist · BENICIA, CA
Registration Details
- NPI Number
- 1164509832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.600956189503 yrs)
- Last Updated
- Jun 3, 2009
- License
-
55157 (CA)
Practice Information
- Address
-
172 EAST D STREETBENICIA, CA, 94510Browse CA providers · Browse ZIP 94510
- Phone
- 7077453820
- Fax
- 7077465196
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BENICIA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID PAUL SHAFER | DDS | 1790706638 |
| DR. PATRICK L ROETZER | DDS | 1447263348 |
| DR. SUREKHA S CHOHAN | DDS | 1902907132 |
| DR. BEROUS LANE PARISH | D.D.S. | 1952499170 |
| DR. JERRY DUNGCA GAPAY | DDS | 1538371612 |
| DR. BRANDY HUTCHENS | D.D.S. | 1528241890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.